Common Shih Tzu Health Issues and Early Warning Signs

Published On: January 21, 2026|Last Updated: February 27, 2026|Views: 50|

Shih Tzus are known for being sturdy, affectionate, and long-lived companions. Like any purebred dog, certain health conditions can appear when breeding is careless or unregulated. The difference comes down to genetics, structure, and breeder responsibility. The good news is simple. When puppies come from ethical breeders who perform full genetic testing on AKC-registered adults, many of the most common Shih Tzu health issues become far less likely. At Champaign Shih Tzu, responsible breeding and early socialization give our puppies a healthier, more confident start that lasts a lifetime.

Why Ethical Breeding Reduces Risk

Shih Tzu health issues often have genetic or structural components. Ethical breeders screen parents well before planning a litter, ensuring only healthy, well-structured adults contribute to the next generation.

Brown and white Shih Tzu puppy laying down in front of a dark blue background with yellow leavesGenetic testing
Reputable breeders test for inherited concerns, allowing them to avoid pairings that could pass on issues such as eye disorders or certain metabolic conditions.

OFA certifications
Responsible programs evaluate hips, patellas, and hearts to confirm sound structure and reduce the chance of orthopedic or cardiac problems.

Generational knowledge
Breeders who raise puppies in a family home and stay connected with previous adopters gain long-term insight into their bloodlines. This helps them refine their program with each generation.

Healthy Eyes Start With Structure

Ethical breeders carefully select for correct eye placement, moderate facial structure, and healthy tear production. When the structure is correct, serious eye issues are far less common. In poorly bred lines, exaggerated features can increase the risk of irritation or injury.

Dry eye
This occurs when tear production drops and the eyes become irritated. Watch for redness, squinting, or thick discharge.

Corneal scratches
Their prominent eyes can be bumped easily during rough play or outdoor adventures. If you notice excessive tearing or pawing, it may indicate irritation.

Early breeder advantage
Puppies raised in a clean, well-maintained home like ours avoid environmental irritants that can worsen early eye sensitivity.

Breathing Quality and Ethical Selection

Shih Tzus are a brachycephalic breed, meaning they have short muzzles. When bred responsibly with correct nostril width, proper palate length, and balanced facial structure, they breathe comfortably and live active, happy lives.

Brown, black and white Shitzu posing in a grey backgroundStuffy breathing
Mild snorting is normal, but loud, labored breathing or difficulty during exercise is not.

Heat sensitivity
All flat-faced breeds struggle with high heat. Keep outings short and watch for heavy panting.

Preventive care
Use a harness instead of a collar to protect airway, and avoid strenuous activity in warm weather.

Skin and Allergy Concerns

A Shih Tzu’s skin and coat health are largely influenced by genetics and early development. When breeders select adults with strong immune systems and correct coat texture, long-term issues are far less likely.

Mild allergies
Itchiness, redness, or ear irritation often show up with food sensitivities or seasonal allergens.

Hot spots
Moist, irritated patches can form if the coat matts or remains damp.

Breeder contribution
Ethical breeders reduce risk by choosing adults with healthy skin, correct coat texture, and strong immune profiles. Our puppies also grow up used to grooming, making coat care easier for families.

Strong Structure and Sound Movement

Small dogs can develop joint issues, but proper breeding and careful growth minimize problems.

Patella luxation

Patella luxation is commonly seen in small dogs from untested or poorly structured lines. Responsible breeders screen patellas before breeding to prevent passing this trait forward.

Hip concerns
While less common in Shih Tzus, hip structure still matters. Programs like ours evaluate adults to ensure strong, comfortable movement.

Early management
Keeping your puppy at a healthy weight and preventing high jumping reduces stress on young joints.

Dental Health

Dental crowding is most commonly seen in poorly structured lines. Ethical breeders prioritize correct bite and jaw alignment, which significantly reduces long-term dental issues. Dental concerns are manageable with awareness.

Healthy puppy without any Shih Tzu health issues thanks to ethical breeding at Champaign shih TzuTartar buildup
Regular brushing and dental treats reduce plaque and help prevent gum issues.

Retained baby teeth
Some puppies do not lose certain teeth naturally. Your vet may recommend removal during spay or neuter surgery.

Breeder influence
Good jaw structure and proper alignment begin with selecting the right parent, which ethical breeders prioritize.

Early Warning Signs Families Should Watch For

Early detection of Shih Tzu health issues makes treatment easier and outcomes better. Pay attention to these subtle changes. As a responsible owner, staying aware of small changes helps ensure your Shih Tzu remains healthy for years to come. Subtle changes in appetite, energy, or movement are simply cues to check in with your veterinarian.

Behavioral shifts 
Sudden clinginess, hiding, restlessness, or irritability can signal discomfort.

Appetite changes 
Skipping meals, chewing slowly, or dropping food may indicate dental or stomach issues.

Eye or ear discharge 
Anything beyond normal tear staining deserves a closer look.

Mobility hesitation 
If your dog avoids stairs or jumps, or sits differently, it may be a joint or muscle issue.

Skin and coat changes 
Flaking, redness, or chewing on the paws should prompt a check-in.

Why Puppies From Champaign Shih Tzu Have a Healthier Start

Our program focuses on raising genetically sound, temperamentally stable puppies with the strongest foundation possible.

We breed only genetically tested AKC adults
We breed only genetically tested AKC-registered adults with sound structure and stable temperaments. This eliminates many preventable conditions before a puppy is even conceived. Our goal is not simply healthy puppies, but healthy adult dogs who thrive for years in their families.

Puppies are raised in our home 
Daily handling, socialization, and high-quality nutrition support strong immune development.

We support families for life 
When questions come up, we help our owners understand whether a concern is normal puppy development or something to investigate further.

Final Thoughts: Shih Tzu Health Issues

Shih Tzu health issues are real, but choosing an ethical breeder makes an enormous difference. When responsibly bred and thoughtfully raised, Shih Tzus are resilient, affectionate companions who often enjoy long, vibrant lives. Ethical breeding makes the difference.

If you are dreaming of bringing home a healthy, well-loved companion raised inside a real family home, we invite you to check out our puppies or contact us anytime. We are always here to help you choose the perfect Shih Tzu for your family.

Merle Shih Tzu puppy lying down in front of some Christmas decorations

FAQ

What are the most common Shih Tzu health issues?
Eye irritation, mild allergies, breathing sensitivity, dental concerns, and occasional joint issues are the most common.

How does ethical breeding reduce these problems?
Genetic testing, OFA certifications, and careful parent selection prevent many conditions from being passed to puppies.

What early warning signs should I watch for?
Changes in appetite, energy, coat condition, breathing patterns, or behavior can all indicate developing issues.

Are Shih Tzus prone to allergies?
Some are, but proper diet, grooming, and responsible breeding greatly reduce severity.

Do Shih Tzus live long lives?
Yes, when bred ethically and cared for well, many enjoy long, healthy lifespans.

Travel Information

We provide transportation for our puppies and have had 100% success with puppies traveling all over the United States. Ground Transportation costs are usually around $400 to $600 above the cost of the puppy. Flight Nanny trips cost $900 to $1,400. You can contact us to make arrangements. We personally handle all travel details to guarantee that the puppy is provided with safety and the utmost respect.